ABSTRACT
INTRODUCTION: Attributing negative stereotypes to older adults (ageism) may lead to undertreatment, but little is known about the prevalence of ageism among physicians treating patients with cancer in Ibero-America. We studied stereotypes of aging among Mexican physicians-in-training. MATERIALS AND METHODS: Physicians-in-training attending an oncology meeting answered the "Negative Attributes and Positive Potential in Old Age" survey. Ten questions assessed positive characteristics of aging (PPOA; score 1-4, higher scores represent a positive perception), and four assessed negative characteristics (NAOA; score 1-4, higher score representing a negative perception). Descriptive statistics were used to analyze the questionnaires. Participants completed the "Image-of-Aging" question by writing five words describing older adults and young individuals. Each word was rated from - 5 (negative) to + 5 (positive), and presented as word clouds. RESULTS: One hundred physicians-in-training (median age 28.5) were included. For the PPOA scale, the mean score was 2.9 (SD 0.4), while for the NAOA scale it was 2.1 (SD 0.4). Perceptions of aging were better among women and trainees enrolled in geriatrics and/or oncology-related programs. In the "Image-of-Aging" questions, median rating of words describing older adults was - 2, compared to + 3 for young individuals (p < 0.001). Among words used to describe older adults, the most frequent was "frail/frailty" (n = 45), while "health" (n = 46) was the most frequent for younger individuals. CONCLUSIONS: Mexican physicians-in-training showed mostly negative perceptions of aging, exemplified by the use of negative terms to describe older adults. Creating educational initiatives aimed at decreasing ageism among oncology trainees is necessary across Ibero-America.
Subject(s)
Ageism/psychology , Aging/psychology , Attitude of Health Personnel , Internship and Residency/statistics & numerical data , Stereotyping , Adult , Aged , Ageism/statistics & numerical data , Female , Frail Elderly , Frailty , Geriatrics/education , Humans , Male , Medical Oncology/education , Mexico , Negativism , Sex Factors , Surveys and Questionnaires , Young AdultSubject(s)
Abortion, Septic/microbiology , Bacterial Infections/microbiology , Abortion, Septic/complications , Abortion, Septic/drug therapy , Adult , Anti-Bacterial Agents/therapeutic use , Bacteria, Aerobic/isolation & purification , Bacteria, Anaerobic/isolation & purification , Bacterial Infections/drug therapy , Female , Humans , PregnancySubject(s)
Pregnancy , Adult , Humans , Genitalia, Female/surgery , Obesity , Postoperative ComplicationsABSTRACT
Se analizan los factores contribuyentes a la morbi-mortalidad obstetricoginecologica de origen infeccioso; se enfatiza la importancia que el aborto septico ocupa en este renglon, la epidemiologia del mismo y la flora microbiana informada en medios similares y diferentes al nuestro. Se observo que la epidemiologia del aborto septico no difiro en relacion a lo observado por otros autores. En comparacion a estudios previos practicados en este hospital, se obtuvo un aumento notable en la incidencia de germenes anaerobios y especificamente del Bacteroides fragilis, el cual ocasiono complicaciones mas graves y una cirugia radical, y por consecuencia, un mayor tiempo de estancia hospitalaria